HomeMy WebLinkAboutDrain Layers Permit 67 Oakwood Drive (2) TOWN OF SOUTH WINDSOR
T
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _.
DRAIN LAYER'S PERMIT
0 771
19
,Pursuant to written applicatior, permission is herebygranted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
side, between
at premises owned by
whose address is i1
andjo �,' Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres
.Type of Sewage to be connected.under this.permit:
SANITARY SEWAGE (0, INDUSTRIAL WASTES.(' ),'OR, ( )
Connection will be made with i
-.
amp" rowwwwM
a
Permit to,be issued to
the holder of Drain Layer's License No. Permit wilLexpiie on' 19
The undersigned Drain Layer hereby agrees t& 11 t e terms and conditions set forth one the permit and the.reverse side
thereof. Applicant has received Town Permit No. and/or C H'D Permit No.
for street excavation
SPECIAL CONDITIONS
Signed.
Connection Charge Paid , iCensed Drai
Issued bys
Tax Collector
Permit Fee:. Paid $ _
INSPECTION: Check Number: .
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
- 9 t-fir
(Sig)
SPECTO